| NPI | 1912370594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIESA SCHNEBERGER Therapist 813-333-1425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL MH12974) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |